| NPI | 1114057171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN SRAJ Office Manager 440-352-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-07-28 |